Based on interview and record review the facility failed to honor R907's documented advance directive and failed to ensure the resident's right to refuse resuscitative efforts. R907 signed a code status form on [DATE] selecting a do not resuscitate (DNR) choice. According to progress notes dated [DATE] at 5:26 AM, the resident was found unresponsive and without a pulse. The resident was subjected to unwanted CPR (chest compressions, intravenous fluids, epinephrine three times) from 5:26 am to 6:00 am until emergency medical services (EMS) stopped the code, despite previously expressing a desire to forgo resuscitative measures. …
F561 citations in Michigan
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F561 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F561 findings written in Michigan, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
This citation pertains to intake: 2614764Based on interview and record review, the facility failed to ensure residents maintained their right to self-determination in 1 of 1 resident (Resident #100) reviewed for choices, resulting in frustration with not being able to go to sleep at a preferred bedtime, an altercation with staff and a left fractured humerus. Findings include: Resident #100: Review of an admission Record revealed Resident #100 was a female with pertinent diagnoses which included chronic pain, contracture of the left upper arm, debility, stroke, paralysis affecting left side, and dementia. …
Based on observation, interview, and record review, the facility failed to honor a resident's right to determine own schedule for showering for one resident (R18) of one reviewed for self-determination. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R18 was a [AGE] year-old female admitted to the facility on [DATE], with diagnoses that included hypertension (high blood pressure), diabetic, anemia, end stage renal disease with dialysis. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.05% | 2.00× |
| 2024 | 0.60% | 1.46× |
| 2025 | 0.32% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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